Rachwalski, Matthew John

Rachwalski, Matthew John is an individual health care provider with primary practice located at 1225 E Coolspring Ave Ste 200 , Michigan City IN 46360-6312. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Rachwalski, Matthew John can be contacted via phone (219) 861-8161.

Contact Information

Primary practice address
1225 E Coolspring Ave Ste 200 Michigan City IN 46360-6312
Phone: (219) 861-8161
Fax: (219) 873-9504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02005158A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 02005158A Indiana

Profile Details

NPI number 1922349398
LBN Legal business name Rachwalski, Matthew John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2013
Last updated Sep 5th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922349398 NPPES
Indiana Other 02005158A MD/DO LICENSE

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